TIMOTHY J BROCKWAY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041449745

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

BROCKWAY

Business Name

TIMOTHY J BROCKWAY

Original Issue Date

02/06/2017

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/18/2026